Patellofemoral Update focuses on the causes, prevention and treatment of patellofemoral disorders. The blog is sponsored by The Patellofemoral Foundation whose mission is to improve the care of individuals with anterior knee pain through targeted education and research. The Patellofemoral Foundation offers additional online education resources on its website.

BLOG: Discomfort at medial quadriceps tendon-femoral ligament attachment not usually a problem

This is my response to a comment on my recent blog on the medial quadriceps tendon-femoral ligament.

In our experience of more than 100 medial quadriceps tendon-femoral ligament (MQTFL) reconstructions, I am aware of discomfort at the quadriceps attachment site in only one patient. This is not a significant problem in anatomic reconstruction of the MQTFL. Not one patient has required surgical intervention for this and the incidence is less than 1% with accurate graft placement and tensioning. Most important is the incidence of patella fracture after MQTFL reconstruction is 0%.

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John P. Fulkerson, MD, is a clinical professor of orthopedic surgery at the University of Connecticut School of Medicine and practices at Orthopedic Associates of Hartford in Farmington, Conn. He is also president of The Patellofemoral Foundation.

Disclosure: Fulkerson reports he receives royalties from DJO Global and is a patent holder for DJO Global.

Editor’s note: Members of the Patellofemoral Foundation review and add clinical perspective to recently published studies on the causes, prevention and treatment of patellofemoral disorders. The twice monthly blogs are edited by John P. Fulkerson, MD, and can be found on To read all the Patellofemoral Update blogs, click here.

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